Christian Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5849 Issued in OK

Practice address

1 Wickersham St
Mangum, OK 73554-9117

Phone

(580) 782-3353

NPI assigned

Sep 26, 2023

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1548049729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S OHIO ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736513227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WICKERSHAM ST",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735549117",
            "telephone_number": "580-782-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION",
            "identifier": "5849",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200234750A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loriann Sanchez, BSW
• Chad Everett Scoggins
• Nathan Sethman, DDS
• Pamela Beth Sherrill, M.ED.
• Ashley Brooke Slaton, APRN-CNP
• Shelly Smith
• Frank M Talley, M.ED L.A.DC
• TLC of Chiropractic L.L.C. (The Locklear Clinic of Chiropractic)
• Triad Home Health LLC
• Lexie Noel Turner

• Physical Therapist in Mangum, OK
• Providers in Mangum, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.